| NPI | 1508651068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS ALWEN Medical Director 818-518-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |